Individual
DR. JOHN M PORTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80037
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111482
—
MS
01
—
480017850
PALMETTO GBA-RR MEDICARE
MS
Enumeration date
08/31/2006
Last updated
07/08/2013
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